dc.contributorCortés Puentes, Luis Arcadio
dc.creatorNieto Angel, Maria Victoria
dc.creatorCortes-Puentes, Luis Arcadio
dc.creatorLinares-Mendoza, Gerardo
dc.creatorNavarrete, Norberto
dc.creatorFernandez, Fderico
dc.date.accessioned2014-07-08T18:53:31Z
dc.date.available2014-07-08T18:53:31Z
dc.date.created2014-07-08T18:53:31Z
dc.date.issued2014
dc.identifierhttp://repository.urosario.edu.co/handle/10336/6378
dc.identifierhttps://doi.org/10.48713/10336_6378
dc.description.abstractIntroduction: Patients with acute thermal injuries have physiological disorders that make difficult characterizing their acid-base status and identifying factors of poor prognosis. Studies with non-conclusive results have being done on base deficit (BD) and a serum lactate. Due to the complexity of the pathophysiological characteristics that define burn patients; the physic-chemical analysis of the acid-base status may hypothetically provide a higher accuracy in detecting metabolic and perfusion disturbances as well as in predicting bad outcomes than the other methods. Methodology: We performed the acid-base analysis of 15 patients older than 15 years-old, with a burned body surface area greater than 20% that were admitted to a burn intensive care unit within 48 hours after the injury. The analysis was performed by using three methods: 1) Conventional method based on Henderson-Hasselbalch’s theory, 2) Anion-Gap (AG),and albumin-corrected AG, and 3) Physic-chemical approach of Stewart’s acid-base state theory. Results: After using the Henderson-Haselbach’s method: 8 patients had metabolic acidosis, 4 patients had a low BD, 5 patients had medium BD, and 5 patients had severe BD elevations. When AG analysis was performed, only 5 patients showed an abnormal AG. In contrast, implementing the albumin-corrected AG it increased the number of patients with abnormal AG to 13 patients. Strong-ion difference was abnormally elevated in all the patients. Conclusions:A higher agreement between abnormal acid-base statuses was observed when using the albumin-corrected AG method and Physic-chemical approach of Stewart’s acid-base state theory.
dc.languagespa
dc.publisherUniversidad del Rosario
dc.publisherEspecialización en Medicina de Emergencias
dc.publisherFacultad de Medicina
dc.rightshttp://creativecommons.org/licenses/by-nd/2.5/co/
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightsAbierto (Texto completo)
dc.rightsAtribución-SinDerivadas 2.5 Colombia
dc.rightsEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma.
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dc.sourceinstname:Universidad del Rosario
dc.sourcereponame:Repositorio Institucional EdocUR
dc.subjectpor Quemaduras
dc.subjectequilibrio ácido-base
dc.subjectBrecha Aniónica
dc.titleDescripción del estado acido base en pacientes con quemaduras térmicas agudas: serie de casos
dc.typemasterThesis


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